Registration for Nebraska Physiological Society Meeting

The registration to the meeting includes membership for 2012-2013 in the Nebraska Physiological Society, breakfast, lunch and break snacks at the meeting.

* Required information

Name*
Title*
School*
Address*
E-mail*
Phone*
Fax

Registration:*

The registration fee includes the respective society membership fee.

Member $35.00
Post-Doctoral Fellow $15.00
Graduate Student $10.00
Undergraduate Student $10.00
Teaching Professionals $25.00

Hotel Information

HOTEL

Marina Inn Conference Center
385 East 4th
South Sioux City, NE 68776

All Room Reservations must be made by the attendee by September 14, 2012

Please call the hotel direct at 800-798-7980 or 402-494-4000 and identify yourself as a Nebraska Physiological Society attendee. A block of rooms has been reserved at a special rate - $99 rate for one King bed or two Queen beds with Complimentary Parking.

Payment/Billing: Individuals pay own and guarantee rooms with a credit card or advance deposit.
Room rates are per night plus taxes. The hold deadline for the block of rooms is September 14, 2012.

NOTICE: This Registration Form may be submitted electronically or mailed to the address below. In either case, mail your payment to the address below.

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Please send check for registration to:

Cindy Norton CAP-OM
Executive Director
Nebraska Physiological Society
University of Nebraska Medical Center
Department of Cellular and Integrative Physiology
985850 Nebraska Medical Center
Omaha, NE 68198-5850
Tel:402-559-4426
FAX: 402-559-4438
Email: nps@unmc.edu